Billing Specialist

SUMMARY OF POSITION

The Billing Specialist is an important part of Vibrant Health’s Revenue Cycle Management. Their responsibilities will include the creation of claims across all departments, payment posting, follow up on denials, account reviews, timely correspondence with our providers and patient service representatives, and other billing related duties as assigned.

It is important that this individual work well in a collaborative, team-based environment.

ESSENTIAL JOB RESULTS

• Timely creation and submittal of clean claims to third party payers

• Electronic and manual insurance payment posting

• Reviewing and following up on claims with errors as identified before being submitted

• Researching and resubmitting denials received from third party payers

• Following up on unpaid or incorrectly paid claims with insurances, as needed

• Reviewing patient accounts for accuracy, insurance verification, statement generation, and patient payment collection

• Responding to related billing questions from patients and staff (most often patient service representatives and providers)

• Carries out Vibrant Health’s mission to provide access to respectful, empowering, culturally sensitive and appropriate high-quality health care for the community, regardless of socio-economic obstacles.

• Accepts and uses supervision, direction and consultation to maximize available resources in the completion of work duties.

• All job responsibilities will be carried out under the direction of the organization’s policies and procedures.

• Additional responsibilities may be assigned as needed to maintain and improve effective functioning of the department and to advance the mission of the organization.

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES

• At least two years related experience required

• Excellent organizational skills and attention to detail

• Excellent time management skills with a proven ability to meet deadlines

• Ability to function well in a high-paced environment

• Excellent verbal and written communication skills

• Excellent interpersonal and customer service skills

• Proficient with Microsoft Office Suite or related software

• High school degree or above required

PREFERRED KNOWLEDGE, SKILLS, AND ABILITIES

• Previous medical/healthcare billing experience and working in and Electronic Medical Records system (specifically eClinicalWorks)

• Experience working with Kansas Medicaid, Medicare, and Commercial payers

• Certified Professional Coder Certification and/or working knowledge of CPT and ICD coding

SUPERVISORY RESPONSIBILITY

N/A

AMERICANS WITH DISABILITY SPECIFICATIONS

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands and fingers to handle or feel objects, tools or controls; reach with hands and arms; climb stairs; talk and hear. The employee must frequently lift and/or move materials that may weigh up to 50 pounds.

Work Environment

Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Position involves extensive use of computer, telephone, fax and copier equipment.

• Frequent standing and walking required.

• Employment is contingent upon successful clearance from Criminal, Kansas and Missouri Child/Elder Abuse and Neglect, Sex Offender background investigations, TB testing, pre-employment drug testing, and verification of Hepatitis-B, flu and COVID-19 immunizations.

• Occasional evening and weekend availability is required.

Trauma Informed Care

At Vibrant Health, we understand that many, if not most, people have experienced trauma in their lives. We have made a commitment to trauma informed care and support and educate team members continued development of understanding of how trauma affects individuals and coping strategies. We expect employees to incorporate their understanding about trauma into interactions with our patients and families, clinic visitors, and with each other.

Commitment to Diversity

We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We are committed to cultivating a workplace in which diverse perspectives and experiences are welcomed and respected. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We are an Affirmative Action employer. We encourage individuals with diverse backgrounds to apply and desire priority referrals of protected veterans.